Skip Navigation
Skip to contents

Intest Res : Intestinal Research

IMPACT FACTOR

Search

Page Path
HOME > Search
2 "General surgery"
Filter
Filter
Article category
Keywords
Publication year
Authors
Original Articles
Surgical management of inflammatory bowel disease in China: a systematic review of two decades
Qiao Yu, Ren Mao, Lei Lian, Siew chien Ng, Shenghong Zhang, Zhihui Chen, Yanyan Zhang, Yun Qiu, Baili Chen, Yao He, Zhirong Zeng, Shomron Ben-Horin, Xinming Song, Minhu Chen
Intest Res 2016;14(4):322-332.   Published online October 17, 2016
DOI: https://doi.org/10.5217/ir.2016.14.4.322
AbstractAbstract PDFSupplementary MaterialPubReader
<b>Background/Aims</b><br/>

The past decades have seen increasing incidence and prevalence of inflammatory bowel disease (IBD) in China. This article aimed to summarize the current status and characteristics of surgical management for IBD in China.

Methods

We searched PubMed, Embase, and Chinese databases from January 1, 1990 to July 1, 2014 for all relevant studies on the surgical treatment IBD in China. Eligible studies with sufficient defined variables were further reviewed for primary and secondary outcome measures.

Results

A total of 74 studies comprising 2,007 subjects with Crohn's disease (CD) and 1,085 subjects with ulcerative colitis (UC) were included. The percentage of CD patients misdiagnosed before surgery, including misdiagnosis as appendicitis or UC, was 50.8%±30.9% (578/1,268). The overall postoperative complication rate was 22.3%±13.0% (267/1,501). For studies of UC, the overall postoperative complication rate was 22.2%±27.9% (176/725). In large research centers (n>50 surgical cases), the rates of emergency operations for CD (P=0.032) and in-hospital mortalities resulting from both CD and UC were much lower than those in smaller research centers (n≤50 surgical cases) (P=0.026 and P <0.001, respectively). Regarding the changes in CD and UC surgery over time, postoperative complications (P=0.045 for CD; P=0.020 for UC) and postoperative in-hospital mortality (P=0.0002 for CD; P=0.0160 for UC) both significantly improved after the year 2010.

Conclusions

The surgical management of IBD in China has improved over time. However, the rates of misdiagnosis and postoperative complications over the past two decades have remained high. Large research centers were found to have relatively better capacity for surgical management than the smaller ones. Higher quality prospective studies are needed in China.

Citations

Citations to this article as recorded by  
  • Epidemiological research, burden, and clinical advances of inflammatory bowel disease in China
    Hong Yang, Jiaming Qian
    Chinese Medical Journal.2024; 137(9): 1009.     CrossRef
  • Laparoscopic surgery contributes to a decrease in short-term complications in surgical ulcerative colitis patients during 2008–2017: a multicenter retrospective study in China
    Zerong Cai, Xiaosheng He, Jianfeng Gong, Peng Du, Wenjian Meng, Wei Zhou, Jinbo Jiang, Bin Wu, Weitang Yuan, Qi Xue, Lianwen Yuan, Jinhai Wang, Jiandong Tai, Jie Liang, Weiming Zhu, Ping Lan, Xiaojian Wu
    Intestinal Research.2023; 21(2): 235.     CrossRef
  • Differences in inflammatory bowel diseases between East and West: a Chinese perspective
    Guanglin Cui, Junling Li, Hanzhe Liu, Jann-Birger Laugsand, Zhanju Liu
    Journal of Public Health.2021; 29(1): 19.     CrossRef
  • Diagnostic and Predictive Value of Immune-Related Genes in Crohn’s Disease
    Bing Yu, Yi-xin Yin, Yan-ping Tang, Kang-lai Wei, Zhi-gang Pan, Ke-Zhi Li, Xian-wen Guo, Bang-li Hu
    Frontiers in Immunology.2021;[Epub]     CrossRef
  • Role of a multidisciplinary team (MDT) in the diagnosis, treatment, and outcomes of inflammatory bowel disease: a single Chinese center's experience
    Qiang Wu, Xuehong Wang, Feng Wu, Dehong Peng, Guotao Wu, Lichao Yang, Lianwen Yuan
    BioScience Trends.2021; 15(3): 171.     CrossRef
  • MANAGEMENT OF ILEOCECAL CROHN’S DISEASE DURING SURGICAL TREATMENT FOR ACUTE APPENDICITIS: A SYSTEMATIC REVIEW
    Abel Botelho QUARESMA, Eron Fabio MIRANDA, Paulo Gustavo KOTZE
    Arquivos de Gastroenterologia.2021; 58(4): 560.     CrossRef
  • Risk factors and long-term outcome of disease extent progression in Asian patients with ulcerative colitis: a retrospective cohort study
    Yun Qiu, Baili Chen, Yufei Li, Shanshan Xiong, Shenghong Zhang, Yao He, Zhirong Zeng, Shomron Ben-Horin, Minhu Chen, Ren Mao
    BMC Gastroenterology.2019;[Epub]     CrossRef
  • Initial medical and surgical management of inflammatory bowel disease in the biologic era: A comparison between the United States and China
    Sanskriti Varma, Jun Hu, Ambar Mehta, Yiran Song, Angela Park, Min Zhi, Susan Hutfless
    JGH Open.2019; 3(3): 234.     CrossRef
  • Can molecular stratification improve the treatment of inflammatory bowel disease?
    Claire Wang, Hannah M. Baer, Daniel R. Gaya, Robert J.B. Nibbs, Simon Milling
    Pharmacological Research.2019; 148: 104442.     CrossRef
  • Intrarectally administered polaprezinc attenuates the development of dextran sodium sulfate‑induced ulcerative colitis in mice
    Zhaoyang Liu, Wenbo Xie, Mingru Li, Jing Liu, Xiao Liang, Tao Li
    Experimental and Therapeutic Medicine.2019;[Epub]     CrossRef
  • Changing treatment paradigms for the management of inflammatory bowel disease
    Jong Pil Im, Byong Duk Ye, You Sun Kim, Joo Sung Kim
    The Korean Journal of Internal Medicine.2018; 33(1): 28.     CrossRef
  • Is Adsorptive Granulocyte and Monocyte Apheresis Effective as an Alternative Treatment Option in Patients with Ulcerative Colitis?
    Seong Ran Jeon
    Gut and Liver.2017; 11(2): 171.     CrossRef
  • 5,954 View
  • 75 Download
  • 12 Web of Science
  • 12 Crossref
Close layer
Clinical Features and Prognosis of Resectable Primary Colorectal Signet-Ring Cell Carcinoma
Ho-Su Lee, Jae Seung Soh, Seohyun Lee, Jung Ho Bae, Kyung-Jo Kim, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Sun A Kim, Young Soo Park, Seok-Byung Lim, Jin Cheon Kim, Chang Sik Yu, Dong-Hoon Yang
Intest Res 2015;13(4):332-338.   Published online October 15, 2015
DOI: https://doi.org/10.5217/ir.2015.13.4.332
AbstractAbstract PDFPubReaderePub
<b>Background/Aims</b><br/>

We attempted to investigate the prognosis of signet-ring cell carcinoma (SRC) patients who underwent curative surgery by comparing them with age-, sex-, and stage-matched non-mucinous adenocarcinoma (NMAC) patients.

Methods

Between January 2003 and December 2011, 19 patients with primary SRC of the colorectum underwent curative surgery. Four SRC patients under the age of 40 were excluded, and the clinicopathological data of 15 patients (7 men; median age, 56 years) were reviewed and compared with the data of 75 NMAC patients matched by age, sex, and pathologic stage.

Results

The median follow-up duration was 30.1 months for the SRC group and 43.7 months for the NMAC group (P=0.141). Involvement of the left side of the colon (73.3% vs. 26.7%, P=0.003) and infiltrative lesions such as Borrmann types 3 and 4 (85.7% vs. 24.0%, P=0.001) were more common in the SRC group than in the NMAC group. The five-year overall survival rate was significantly lower for patients with SRC than for those with NMAC (46.0% vs. 88.7%, hazard ratio, 6.99; 95% confidence interval, 2.33-20.95, P=0.001).

Conclusions

Patients with even resectable primary colorectal SRC had a poorer prognosis than age-, sex-, and stage-matched colorectal NMAC patients.

Citations

Citations to this article as recorded by  
  • Prognostic implications of T stage in different pathological types of colorectal cancer: an observational study using SEER population-based data
    Nan Yao, Wenqiang Li, Jiwei Wang, Hongyuan Chu, Ning Duan, Xinyu Niu, Guoyong Yu, Jun Qu
    BMJ Open.2024; 14(2): e076579.     CrossRef
  • Systematic review of risk factors, prognosis, and management of colorectal signet-ring cell carcinoma
    Frederiek Nuytens, Vincent Drubay, Clarisse Eveno, Florence Renaud, Guillaume Piessen
    World Journal of Gastrointestinal Oncology.2024; 16(5): 2141.     CrossRef
  • Modeling the survival of colorectal cancer patients based on colonoscopic features in a feature ensemble vision transformer
    Chung-Ming Lo, Yi-Wen Yang, Jen-Kou Lin, Tzu-Chen Lin, Wei-Shone Chen, Shung-Haur Yang, Shih-Ching Chang, Huann-Sheng Wang, Yuan-Tzu Lan, Hung-Hsin Lin, Sheng-Chieh Huang, Hou-Hsuan Cheng, Jeng-Kai Jiang, Chun-Chi Lin
    Computerized Medical Imaging and Graphics.2023; 107: 102242.     CrossRef
  • Metastatic colorectal carcinoma with signet-ring cells: Clinical, histological and molecular description from an Association des Gastro-Entérologues Oncologues (AGEO) French multicenter retrospective cohort
    Marion Allart, Florence Leroy, Stephano Kim, David Sefrioui, Mihane Nayeri, Aziz Zaanan, Benoit Rousseau, Meher Ben Abdelghani, Christelle de la Fouchardière, Wulfran Cacheux, Romain Legros, Samy Louafi, David Tougeron, Olivier Bouché, Nadim Fares, Guilla
    Digestive and Liver Disease.2022; 54(3): 391.     CrossRef
  • The Molecular Associations of Signet-Ring Cell Carcinoma in Colorectum: Meta-Analysis and System Review
    Xueting Liu, Litao Huang, Menghan Liu, Zhu Wang
    Medicina.2022; 58(7): 836.     CrossRef
  • Clinicopathological factors and survival outcomes of signet-ring cell and mucinous carcinoma versus adenocarcinoma of the colon and rectum: a systematic review and meta-analysis
    Michael G. Fadel, George Malietzis, Vasilis Constantinides, Gianluca Pellino, Paris Tekkis, Christos Kontovounisios
    Discover Oncology.2021;[Epub]     CrossRef
  • Clinicopathological Features and Survival of Signet-Ring Cell Carcinoma and Mucinous Adenocarcinoma of Right Colon, Left Colon, and Rectum
    Lili Zhu, Chunrun Ling, Tao Xu, Jinglin Zhang, Yujie Zhang, Yingjie Liu, Chao Fang, Lie Yang, Wen Zhuang, Rui Wang, Jie Ping, Mojin Wang
    Pathology and Oncology Research.2021;[Epub]     CrossRef
  • Prognostic value of carbohydrate antigen125 and carcino embryonic antigen expression in patients with colorectal carcinoma and its guiding significance for chemotherapy
    Jie Mao, Peng Du, Han-teng Yang, Huan Hu, Shi-Yao Wang, Xia Wu, Zhi-Bin Cheng
    Medicine.2020; 99(14): e19420.     CrossRef
  • Primary signet ring cell carcinoma with tubular adenoma of the rectum
    Yong-Ping Yang, Ling-Yun Yu, Jian Shi, Jian-Nan Li, Xin-Yu Wang, Tong-Jun Liu
    Medicine.2020; 99(26): e20985.     CrossRef
  • Prognosis of Signet Ring Cell Carcinoma of the Colon and Rectum and their Distinction of Mucinous Adenocarcinoma with Signet Ring Cells. A Comparative Study
    Luis I. Pozos-Ochoa, Leonardo S. Lino-Silva, Alberto M. León-Takahashi, Rosa A. Salcedo-Hernández
    Pathology & Oncology Research.2018; 24(3): 609.     CrossRef
  • Impact of histological subtype on the prognosis of patients undergoing surgery for colon cancer
    Fabio Bagante, Gaya Spolverato, Eliza Beal, Katiuscha Merath, Qinyu Chen, Ozgür Akgül, Robert A. Anders, Timothy M. Pawlik
    Journal of Surgical Oncology.2018; 117(7): 1355.     CrossRef
  • Prognosis and value of preoperative radiotherapy in locally advanced rectal signet-ring cell carcinoma
    Chun-Run Ling, Rui Wang, Mo-Jin Wang, Jie Ping, Wen Zhuang
    Scientific Reports.2017;[Epub]     CrossRef
  • The Characteristics and Prognostic Effect of E-Cadherin Expression in Colorectal Signet Ring Cell Carcinoma
    Renjie Wang, Xiaoji Ma, Yaqi Li, Yiping He, Dan Huang, Sanjun Cai, Junjie Peng, Javier S Castresana
    PLOS ONE.2016; 11(8): e0160527.     CrossRef
  • Younger Age Is Associated with Poorer Survival in Patients with Signet-Ring Cell Carcinoma of the Colon without Distant Metastasis
    Ben Huang, Mengdong Ni, Chen Chen, Yang Feng, Sanjun Cai
    Gastroenterology Research and Practice.2016; 2016: 1.     CrossRef
  • 4,789 View
  • 48 Download
  • 21 Web of Science
  • 14 Crossref
Close layer

Intest Res : Intestinal Research
Close layer
TOP